Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $501.19	Professional		$269.15	$331.13	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $56.23 / $125.89	Professional	26	$46.77	$56.23	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $281.84 / $562.34	Professional	TC	$223.87	$281.84	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $588.84	Professional		$309.03	$446.68	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $97.72	Professional	26	$52.48	$75.86	$97.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $363.08 / $489.78	Professional	TC	$257.04	$363.08	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $831.76	Professional		$407.38	$588.84	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $93.33 / $138.04	Professional	26	$67.61	$93.33	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $501.19 / $691.83	Professional	TC	$338.84	$501.19	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $870.96	Professional		$380.19	$457.09	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $151.36	Professional	26	$67.61	$79.43	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $371.54 / $724.44	Professional	TC	$316.23	$371.54	$724.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $758.58	Professional		$331.13	$407.38	$758.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $144.54	Professional	26	$48.98	$72.44	$144.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $338.84 / $645.65	Professional	TC	$281.84	$338.84	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $870.96	Professional		$380.19	$501.19	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $120.23	Professional	26	$64.57	$81.28	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $416.87 / $588.84	Professional	TC	$316.23	$416.87	$588.84